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Individual

IAN MICHEAL TUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(501) 666-8686
Mailing address
1621 MARTIN LUTHER KING DR, LITTLE ROCK, AR 72202-6068

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/01/2011
Last updated
02/01/2011
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